Evidence map›Paper›PMID 24943724›Full record

ArticleThe Journal of infectious diseases2014

Interplay between the temporal dynamics of the vaginal microbiota and human papillomavirus detection.

Rebecca M Brotman, Michelle D Shardell, Pawel Gajer, J Kathleen Tracy, Jonathan M Zenilman, Jacques Ravel, Patti E Gravitt

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 231 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
231citing papers in PubMed, 4 pooled it
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

231 citing papers in PubMed, 4 syntheses or guidelines pooled it, 415 citations in OpenAlex.

  1. Pooled it
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  5. Vaginal microbiota stability over 18 months in young student women in France.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
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  6. Orally administratedFrontiers in immunology · 2023
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171 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Rebecca M BrotmanDepartment of Epidemiology and Public Health, University of Maryland School of Medicine Institute for Genome Sciences, University of Maryland School of Medicine.
Michelle D ShardellDepartment of Epidemiology and Public Health, University of Maryland School of Medicine.
Pawel GajerInstitute for Genome Sciences, University of Maryland School of Medicine.
J Kathleen TracyDepartment of Epidemiology and Public Health, University of Maryland School of Medicine.
Jonathan M ZenilmanDivision of Infectious Diseases, Department of Medicine, Johns Hopkins Medical Institutions, Johns Hopkins Bayview Medical Center.
Jacques RavelInstitute for Genome Sciences, University of Maryland School of Medicine Department of Microbiology and Immunology, University of Maryland School of Medicine.
Patti E GravittDepartment of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.
University of Maryland, Baltimore · USJohns Hopkins University · US

Funding

HPV Infection Among Perimenopausal Women in the 1945-64 Birth CohorR01CA123467 · NCI · JOHNS HOPKINS UNIVERSITY · PI GRAVITT, PATTI E · 2007 to 2012
$3.1M
The Microbial Ecology of Bacterial Vaginosis: A Fine Scale Resolution MetagenomicUH2AI083264 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI RAVEL, JACQUES · 2009 to 2011
$1.9M
Molecular Epidemiology of the Vaginal MicrobiomeK01AI080974 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI BROTMAN, REBECCA M. · 2010 to 2014
$644k
Statistical Methods to Correct for Proxy Bias in Studies of Older AdultsK25AG034216 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI SHARDELL, MICHELLE DENISE · 2011 to 2013
$401k
Recovery of Vaginal Flora after Douching CessationR03AI061131 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ZENILMAN, JONATHAN M · 2005 to 2006
$125k
NCI NIH HHS R01 CA123467NIAID NIH HHS K01 AI080974NIAID NIH HHS K01-AI080974NIAID NIH HHS R03 AI061131NIAID NIH HHS R03-AI061131NIAID NIH HHS UH2 AI083264NIAID NIH HHS UH2-AI083264NIA NIH HHS K25 AG034216NIA NIH HHS K25-AG034216
6 · The paper itself

Abstract

backgroundWe sought to describe the temporal relationship between vaginal microbiota and human papillomavirus (HPV) detection.

methodsThirty-two reproductive-age women self-collected midvaginal swabs twice weekly for 16 weeks (937 samples). Vaginal bacterial communities were characterized by pyrosequencing of barcoded 16S rRNA genes and clustered into 6 community state types (CSTs). Each swab was tested for 37 HPV types. The effects of CSTs on the rate of transition between HPV-negative and HPV-positive states were assessed using continuous-time Markov models.

resultsParticipants had an average of 29 samples, with HPV point prevalence between 58%-77%. CST was associated with changes in HPV status (P<.001). Lactobacillus gasseri-dominated CSTs had the fastest HPV remission rate, and a low Lactobacillus community with high proportions of the genera Atopobium (CST IV-B) had the slowest rate compared to L. crispatus-dominated CSTs (adjusted transition rate ratio [aTRR], 4.43, 95% confidence interval [CI], 1.11-17.7; aTRR, 0.33, 95% CI, .12-1.19, respectively). The rate ratio of incident HPV for low Lactobacillus CST IV-A was 1.86 (95% CI, .52-6.74).

conclusionsVaginal microbiota dominated by L. gasseri was associated with increased clearance of detectable HPV. Frequent longitudinal sampling is necessary for evaluation of the association between HPV detection and dynamic microbiota.

Indexed as

AdolescentAdultAlphapapillomavirusCluster AnalysisFemaleHumansMarkov ChainsMetagenomeMicrobiotaMiddle AgedPapillomavirus InfectionsRisk FactorsVaginaVaginosis, BacterialYoung Adult16S rRNA gene analysishuman papillomavirus (HPV)transition modelvaginal microbiota

Identifiers

PMID24943724
PMCPMC4296189
OpenAlexW2152821355

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.